Tagged With "Mandatory reporting"
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4 years after integrating ACEs science, Pueblo, CO clinic improves services for families; cuts ER costs, doctor stress
Four years ago, Dr. Leslie Dempsey would never have talked about ACEs — adverse childhood experiences — with her patients. Now ACEs is a common topic. “Just as I don’t feel awkward asking someone if they smoke or do intravenous drugs, I don’t really feel awkward talking about their childhood traumas in a way that it relates to their health. It’s just integrated into obtaining background and social history,” she says. Dr. Leslie Dempsey Dempsey is a physician in obstetrics who oversees a team...
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A Brief Overview of Post-Partum Obsessive Compulsive Disorder (mathewsopenaccess.com)
Note: Parenting with ACEs can present us with extra challenges. Being pregnant, giving birth and breastfeeding can all be difficult for many of us. The stresses all parents experience can be compounded depending on our own emotional and physical well-being and the support we have (emotional, financial, family, community). In addition, we might have to consider thing such as going on, staying on or going off of drugs for some period of time during and following pregnancy. We don't talk a lot...
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A Framework for Child Health Services: Promoting optimal health, development, and well-being for all children [chdi.org]
CHDI and Connecticut Children’s Office for Community Child Health outlined a joint vision for improving child and population health in A Framework for Child Health Services: Promoting optimal health, development, and well-being for all children . This 2019 Framework builds on the original Framework for Child Health Services published in 2009. It highlights progress on implementing recommendations from the original Framework and puts forth new recommendations for integrating child health...
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A Large Proportion of California Parents Were Abused as Children [Slate.com]
A new survey has found that 1 in 5 California adults cohabitating with children were physically abused in their youth. One in 10 report having been sexually abused as children. Accurate data is essential to interventions in cycles of abuse. It’s difficult to get solid numbers on child abuse, since so much goes unreported, and child welfare advocates will sometimes file neglect reports to remove children from dangerous situations with allegations that are easier to prove . The data was...
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A Shared Sentence The Devastating Toll of Parental Incarceration on Kids, Families and Communities (www.acef.org) & Commentary
Here's a link to the policy report put out earlier this year by the Annie E. Casey Foundation. Here's a summary of what's in it in case you want to explore it more. More than 5 million U.S. children have had a parent in jail or prison at some point in their lives. The incarceration of a parent can have as much impact on a child’s well-being as abuse or domestic violence. But while states spend heavily on corrections, few resources exist to support those left behind. A Shared Sentence offers...
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Emotional Violence In Childhood, Adolescence Associated With Suicidal Thoughts (scienceblog.com)
Early exposure to emotional violence “significantly” increases the chances that youths will contemplate suicide, according to new research from three countries conducted by Washington University in St. Louis’ Brown School. “We find the odds of suicide ideation are consistently and significantly greater for adolescents who report overexposure to emotional violence,” said Lindsay Stark , associate professor and co-author of the study “ A Sex-disaggregated Analysis of How Emotional Violence...
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Environmental adversities and psychotic symptoms: The impact of timing of trauma, abuse, and neglect [schres-journal.com]
Background Trauma and adverse childhood experiences (ACE) occur more often in mental illness, including psychosis, than in the general population. Individuals with psychosis (cases) report a higher number and severity (dose) of adversities than healthy controls. While a dose-dependent increase of adversities has been related to more severe psychopathology, the role of type and timing is still insufficiently understood on the exacerbation of positive and negative psychotic symptoms. Moreover,...
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Every Woman Was Once a Girl: Why We Need to Talk About the Unique Biological Effects of #ToxicChildhoodStress and #FemaleAdversity on Women’s Bodies and Brains
This is Part Two of my Female Adversity: The Female Body and Brain on Toxic Stress series. (CRUCIAL NOTE HERE BEFORE YOU READ: Boys’ immune systems become dysregulated in response to #toxicstress too, and that leads to disease and changes to the brain that we also need to talk about more openly AND compassionately. Today I’m focusing on girls’ unique immune response to #toxicstress.) So, exactly what happens in a girl’s body, in response to #toxicstress, that leads girls to be more likely to...
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Exposure to Abuse May Lead to Poor Heart Health in Kids [medpagetoday.com]
Children and adolescents who suffer adversity, including abuse, throughout childhood tend to have poorer cardiometabolic health, according to an American Heart Association committee report. All forms of abuse, including bullying, neglect, or witnessing violence, are linked to a greater increased risk of cardiovascular disease, said the report, authored by Shakira F. Suglia, ScD, of Columbia University's Mailman School of Public Health in New York City, and colleagues writing in Circulation.
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Fear Compromises The Health, Well-Being Of Immigrant Families, Report Finds [californiahealthline.org]
Luis Ramirez has lived in the U.S. without immigration papers for two decades, but he is more worried about deportation now than ever before. Ramirez said he and his wife, Luz Cadeo, who is also here illegally, have already made plans in case they are arrested by immigration police: The couple, who live in Lakewood, Calif., would try to find work in their native Mexico while their youngest U.S.-born children, ages 15 and 18, stayed in the U.S. with a relative. “We are taking it very...
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Foster Care Entries for Parental Drug Use Surge [usnews.com]
By Katelyn Newman, US News & World Report, July 15, 2019. INCIDENTS OF CHILDREN entering America's foster system as a result of their parents' drug use have surged since 2000, new research shows, coinciding with the country's recent opioid crisis. Using case data from the federally mandated Adoption and Foster Care Analysis and Reporting System, researchers from Cornell and Harvard universities found that 1,162,668 – or nearly 24% – of 4,972,911 entries of children into foster care...
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Free play is great for kids. Now pediatricians say so (sacbee.com)
The award for best line ever in a medical report: “Play is not frivolous.” It’s not new, the idea that free play helps children develop in remarkable ways. Multiple studies have found that play builds social skills and creativity and develops the ability to solve problems and to collaborate. What is new is that a clinical report published in August by the American Academy of Pediatrics specifically calls on pediatricians and family doctors to start taking play, well, seriously – in fact to...
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Going beyond asking what happened: building beloved community
“Our goal is to create a beloved community and this will require a qualitative change in our souls as well as a quantitative change in our lives.”- Dr. Martin Luther King, Jr. “beloved community is formed not by the eradication of difference but by its affirmation, by each of us claiming the identities and cultural legacies that shape who we are and how we live in the world.” –bell hooks One of the most notable descriptors of trauma-informed care is shifting the question of what is wrong...
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Great Basic Parenting Tips & Why I Have Such a Hard Time Sharing Them
At least once a week I struggle about what to share here. This is my most recent example. It's a series of tips on the U.S. Department of Education . These are great hand-outs with comprehensive information about child development that's not too long, abstract or hard to read. Here's the list (also attached below). I especially like the flyer for talking about feelings which has the tag line "Talking is teaching." And the short summary of milestones at different ages and stages from birth to...
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Healing in place: Game on to flip the COVID19 threat into a positive experience for our children
As I was considering the children sheltering-in-place this morning and reflecting on lessons from my own childhood, I wondered: Can we heal-in-place too? I was born after the 1962 Cuban missile crisis, another collective trauma affecting everyone. Yet, it was nevertheless passed on to me by the adults in my life in the form of constant reminders that the U.S. could be blown into bits any second. When I started school, there were constant “hide under the chair” earthquake drills I took to be...
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Health Care System Fails Many Transgender Americans (npr.org)
In the basement of Casa Ruby in Washington, D.C., transgender men and women in their late teens and 20s, mostly brown or black, shared snacks, watched TV, chatted or played games on their phones. Many of them, said Corado, are part of the 31 percent. That's 31 percent of transgender Americans who lack regular access to health care. The finding comes from a new poll by NPR, the Robert Wood Johnson Foundation and the Harvard T.H. Chan School of Public Health. Corado pointed to one crucial word...
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How Parental Incarceration Affects a Child’s Education [TheAtlantic.com]
This past summer,The Atlantics Sarah Yager wrote about the rising popularity of prison nurseries as a means of saving costs, enhancing morale, and reducing recidivism among the ever-growing female inmate population. Such...
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How poor phone etiquette (or “phubbing”) affects the child of divorce
Posted on April 6, 2016 by Linda Jacobs There she sat at a fast-food restaurant, single mom alone with her daughter. The place was mostly empty. A worker was mopping the floor, and the little girl was fascinated with his chore. Her mom was glued to her cell phone. The little girl’s dinner sat at the table, untouched except for a few french fries she’d poke in her mouth as she ran back to the table every so often. Maybe it’s because I’m cognizant of what kids of divorce go through and aware...
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The Tragic Myth about ADHD [blogs.psychcentral.com]
A new report from the Center for Disease Control and Prevention announced that the number of teen-aged and young adult women being medicated for ADHD (Attention Deficit/Hyperactivity Disorder) has risen by 344%. The CDCP noted that in 2006 about 1% of the female population were medicated for ADHD, but by 2015 the percentage had climbed to 4%. The study focused on women between the ages of 15 and 44 who had private insurance. About 5% of the general population has ADHD. The disorder used to...
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The trauma of racism: Study published in The Lancet identifies link between police violence and community mental health for African Americans in the U.S.
Is racism an ACE? How about police violence? Outcomes seem to suggest so: "The magnitude of the mental health impairment black Americans experienced from police killing other unarmed black Americans was almost as big as the impairment associated with DIABETES" -Dr. Rhea Boyd. Links within include access to NYT article about the study, the original study, and commentary by Dr. Rhea Boyd.
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The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy (Journal of the American Psychiatric Nurses Association)
Grabbe L, Miller-Karas E. The Trauma Resiliency Model: A “Bottom-Up” Intervention for Trauma Psychotherapy. Journal of the American Psychiatric Nurses Association. 2017; 24 (1): 76-84.
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TIC: News and Notes for February 2020
ACEs, Adversity's Impact Podcast: What happened to you? (Part 1) Podcast: What happened to you? (Part 2) Podcast: What happened to you? (Part 3) Family dynamics may influence suicidal thoughts in children Fawning: The fourth trauma response we don't talk about FPs are best equipped to tackle adverse childhood experiences New study reveals annual cost of childhood adversity in California is approximately $113 billion Signs your child may be struggling from an adverse childhood experience...
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TIC: News and Notes for March 2020
ACEs, Adversity's Impact Lessons learned integrating ACEs science into health clinics: Staff first, THEN patients Launching a revolution Stress is a key to understanding many social determinants of health Is trauma driving some eating disorders? Adverse childhood experiences: What we know, what we don't know, and what should happen next Childhood maltreatment initiates a developmental cascade that leads to relationship dysfunction in emerging adulthood Report reveals link between poverty,...
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Too few parents talk to their kids about race and identity, report finds (hechingerreport.org)
T oo few parents and teachers are talking about race, gender and other identity traits with children often enough, which means they are missing out on critical opportunities to teach children to become tolerant of differences from an early age. That’s one of the main findings of a new report by Sesame Workshop , which surveyed 6,070 parents of children ages 3 to 12 and 1,046 teachers from preschool to fifth grade. Experts say this trend can have serious implications, because when adults...
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Toolkit on Domestic Violence and ACEs Now Available
This blog post is to share our toolkit, "A Resilience Framework for Domestic Violence and Adverse Childhood Experiences (ACEs)." The toolkit is a PowerPoint that can be downloaded here and is free to share. This project started nearly 24 months ago with support from the Arctic Fulbright Initiative to examine the intersections between domestic violence and ACEs and create an open access resource. A statewide survey in Alaska and focus groups in Finland provided recommendations on information...
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Training a Brain Afraid from Too Many ACEs: Demystifying Neurofeedback
Please share any stories, insights, experiences or opinions you have about neurofeedback. Have you tried it? Do you know anyone who has? Have you tried to get it covered by insurance for yourself or a child? Many of us are curious about this for treating our own symptoms or for better supporting our kids but it sounds serious, complicated and expensive. What's your experience been? What have you heard or felt or tried? What do you think? Sebern Fisher believes a “well-regulated brain” is a...
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Trauma, Attachment, and Relationships
Interventions in the Attachment and Relationship Problems Trauma Can Cause Julie De Wilde Alfred Adler Graduate School Abstract Much research has been done on the negative effects of trauma on attachment, which then has negative effects on relationships. Research more recently has focused on the positive post traumatic growth that can happen when clients receive safe, healthy attachment to a therapist they can trust. Research also includes the benefits to the client when a therapist includes...
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Trauma-Informed Social Justice: Q&A with Dr. Bukuloa Ogunkua
Cissy's Note: I work with people who challenge systems and policies, who reform or start non-profits, and who see hope and promise where others see despair or destruction. While some folks shake their heads or shrug indifferently in the face of injustice and suffering, others organize, mobilize, and channel their time and energy towards making a change. Maybe a physician hosts an annual conference bringing trauma-informed approaches to medical practice. Perhaps a woman shares ACEs 101...
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Vision and Hearing Issues in Children who were Adopted from Other Countries, Article Abstract & Commentary from Mom who Adopted
I don't share many details about my daughter's health history or health issues because she, to date, is far more private than I am. Plus, she's still in her childhood. But, I am continually learning about early adversity, loss, transition, trauma, malnutrition through first-hand experiences and through research because stuff that happened fifteen and sixteen years ago when she was in utero, in another country as well as in an orphanage. All of those things still impact her and our family as...
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We Need to Talk about PTSD in NICU Parents (themighty.com)
Given the nature of NICU, the pain of leaving your fragile baby each day, the feelings of emptiness and grief , the uncertainty and ups and downs, the lines, wires, monitors and alarms, not to mention the security buzzers at the entrance of the unit or the constant rigorous hand-washing, it came as no surprise to me that parents who have experienced premature birth are at greater risk of postnatal depression , anxiety and post-traumatic stress disorder (PTSD) . You see, more than 40 percent...
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WEBINAR - NPPC's Pilot Site Case Studies: Lessons Learned from ACEs Screening Implementation
The Center for Youth Wellness' National Pediatric Practice Community on ACES (NPPC) is a co-designed community committed to collaborative learning. To promote this learning, we have been working with six pilot sites over the last year, representing practices of various sizes and service delivery settings, to implement ACEs screening and intervention. On Monday, December 2nd at 1pm PT , we will be holding a webinar to discuss the findings of these pilot site case studies. Please register...
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What If I Told You?
What if I told you that I was a victim of child sex abuse? As a survivor of child sexual abuse , I have a clear understanding of the importance of addressing stigma and shame as it pertains to sexual abuse, sexual assault and rape. Victims, especially young children, often do not disclose sexual abuse. Those who are witnesses of child sexual abuse, or who are trusted by survivors enough that they confide in them, are often ill-equipped to handle the responsibility. And, many times, parents...
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What Parents Need to Know: School Reports to CPS, Communicating with the School, and Advocating for Your Child (www.risemagazine.org)
Excerpt from an interview by Ray Watson, Shakira Paige, Sarah Harris and Keyna Franklin with the Bronx Defenders as published in Rise Magazine. Read entire i nterview by Ray Watson, Shakira Paige, Sarah Harris and Keyna Franklin with the Bronx Defenders as published in Rise Magazine.
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When Is It Sex, and When Is It Sexual Abuse or Assault?
By understanding the difference between sex and sexual abuse, trauma survivors can understand that unwanted touching they experienced in the past was not sex. Sex is always consensual in a way that feels safe and pleasurable. Abuse occurs without your consent, and is never your fault.
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Single Mother Seeks to Give Daughter the Peace That Eluded Her [NYTimes.com]
Above the simple gray churches along a dimly lit section of Detroit, the brooding eyes of Lil Wayne, who was covered in chains and holding a bottle of Hennessy, peered from a billboard in the rough neighborhood where India Wayman grew up. Her childhood had been fraught with traumatic experiences. Her father was violent and inconsistent, Ms. Wayman said, and she was bullied at school. A social worker visited her home when she was 12. “Take her, we don’t need her here anymore,” Ms. Wayman, now...
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Spokane, WA, public health nurses create trauma-sensitive toolkit for parents/caregivers
Public health nurses at Spokane Regional Health District (SRHD) developed a 178-page toolkit -- 1*2*3 Care -- for caregivers of children. They define caregivers as parents, g randparents, child care providers, teachers, and others who care...
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Suffering in Silence Mood Disorders Among Pregnant and Postpartum Women of Color
Pregnancy and childbirth can bring joy and fulfillment to a woman's life. They can also bring anxiety, depression, and stress. If left untreated, postpartum depression and other mood disorders can grow severe and even fatal for both the mother and her child. The American Psychological Association estimates that 1 in 7 women experience postpartum depression, yet the true statistic is unknown, as most women do not recognize the symptoms associated with the condition. 1 According to the World...
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Suicide: How You Can Make a Difference (nimh.nih.gov)
The recent deaths of high-profile public figures and a new Centers for Disease Control and Prevention (CDC) report on rising suicide rates have brought the topic of suicide into everyday conversations. It’s important to know some facts and to know what to do if you think someone might be at risk for self-harm. A crisis can pass with time and the most important thing is to stay safe through the crisis and get help. 5 Action Steps for Helping Someone in Emotional Pain Ask: “Are you thinking...
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Supportive Housing Can Help Keep Families Together [howhousingmatters.org]
By Mary K. Cunningham, Mike Pergamit, and Sarah Gillespie, How Housing Matters, June 5, 2019. Many families who come to child welfare agencies after a report of child abuse or neglect are experiencing homelessness or severe housing instability. Nearly 11 million households (PDF) nationwide are paying too much for rent, and about 1.4 million people use homeless shelters and transitional housing over the course of a year. There is no place in the country where there is enough affordable...
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Teens are more stressed and anxious, but they don’t know why. Here’s how parents can help. [WashingtonPost.com]
The teenage years can be tough, marked with physical and emotional changes, new choices and responsibilities, and evolving relationships with the people who surround us. But a recent report shows that hormones aren’t the only thing troubling the teen years; young people are increasingly showing a general inability to identify the source of their angst and pain. These results have serious implications for those who care for kids. A review of more than 830,000 calls, text messages, emails and...
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Telling a more complete story about child welfare
A new study from Berkeley Media Studies Group found that coverage of the child welfare system omits important context and connections to other issues. Here are four steps practitioners can take to improve the news.
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The Absence of Punishment in Our Schools
Where to begin... My heart is full of hope and joy as I watch the trauma-informed schools movement swell across our nation and planet. The science of ACEs is mind-bending to say the least and we are now able to open up a much deeper dialogue about human behavior and health. Ultimately this work is about healing… All. Of. Us. A new consciousness is taking root around ending the “us vs them” construct. The idea is growing that we’re all on this journey together and that no matter where our...
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Real Resilience is now a PODCAST
Women who support an incarcerated loved one finally has a place to share their stories on the Real Resilience P.W.L. Podcast.
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Reducing Maternal Mortality [nytimes.com]
Women in the United States face a far greater risk of dying from childbirth complications than in many other wealthy countries. Now the federal government has taken a step toward addressing the problem with the Preventing Maternal Deaths Act , signed in December, which will provide federal grants to states to investigate the deaths of women who die within a year of being pregnant. A report released by the Commonwealth Fund in December that looked at 11 high-income countries found that...
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Reimbursement for Parenting Education and Support Services
Unfortunately, regardless of training received and degrees earned, parenting educators can't serve families and get reimbursed by public and private insurers for their services. In an effort to bring light to this issue, I wrote the attached paper with two colleagues at NC State. Our (unpublished) paper outlines research supporting parenting education services and their efficacy to improve individual and family health and long term wellbeing and community prosperity. We highlight the fact...
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Report Features Newly-Released Data to Support Positive Child and Family Well-Being
A new report produced in partnership with Casey Family Programs illuminates the importance of HOPE—Health Outcomes of Positive Experiences, a framework that studies and promotes positive child and family well-being. Balancing Adverse Childhood Experiences (ACEs) with HOPE presents newly-released, compelling data that reinforces the need and opportunity to support families and communities in the cultivation of relationships and environments that promote healthy childhood development. It also...
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Report: Solutions To Stop Sexual Violence Against Children [npr.org]
By Susan Brink, NPR.org, November 19, 2019 Sexual violence against children happens everywhere: in wealthy enclaves, in slums, in suburbs, in rural villages. Invariably, it happens in secret: in the privacy of family homes, in dark corners of schools and churches, and in murky shadows at neighborhood, community, sporting and scouting events. It happens often, and periodically groups put out reports to call attention to the issue. "That's usually where the story stops," says Daniela Ligiero,...
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Report: Teachers Have Difficulty Engaging Families (thejournal.com)
In a recent survey involving 1,000 primary teachers conducted by ed tech company ClassTag , 45 percent of respondents said more than a quarter of families were “hard to reach and engage,” with 21 percent saying that more than half of their families were hard to engage. However, according to the report, The State of Parent Engagement , parents tend to think that teachers do a good job of communicating. Some 39 percent rated teachers as having good communication, rating them at 9 to 10 points...
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Research roundup: ACEs among incarcerated women; testing technology to help reduce substance use; prenatal support as an intervention to prevent ACEs
photo by Rhoda Baer/Wikimedia Common Life as she knows it: The effects of adverse childhood experiences on intimate partner violence among women prisoners [Child Abuse & Neglect] "Most incarcerated women suffer from adverse childhood experiences (ACEs), such as abuse (e.g., physical, sexual, emotional), neglect, (e.g., physical, emotional), and chaotic home environments (e.g., witnessing domestic violence), and adult intimate partner violence (IPV). Yet the majority of research on the...